Individual
DR. RICHARD DWIGHT HOLLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20950 N TATUM BLVD, #350, PHOENIX, AZ 85050-4200
(480) 473-3111
(480) 473-3114
Mailing address
20950 N TATUM BLVD, #350, PHOENIX, AZ 85050-4200
(480) 473-3111
(480) 473-3114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4573
AZ
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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